Individual
MS. ANNIE G. MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC,NCC
Contact information
Practice address
10735 S CICERO AVE, OAK LAWN, IL 60453-5400
(708) 424-0001
Mailing address
10735 S CICERO AVE, OAK LAWN, IL 60453-5400
(708) 424-0001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178002904
IL
101YP2500X
Professional Counselor
178.002904
IL
101YS0200X
School Counselor
178.002904
IL
Other
Enumeration date
01/04/2011
Last updated
10/18/2011
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